1. Instructions

    1. Instructions

  2. Basic Information

    1. *Please provide your full name.

    2. *Please provide your primary contact phone number.

    3. *Please provide your primary contact email address.

    4. *Please provide your full address and postal/zip code.

  3. The Questionnaire

    1. What is your reasoning behind wanting to undertake coaching sessions at this stage of your life?

    2. Have you worked with a coach before at any point?

    3. What do you expect to gain from the coaching sessions?

    4. How will you know when you're seeing results from the coaching sessions?

    5. Is there any particular reason behind wanting to work with us specifically?

    6. So far in your life, what do you feel are your biggest accomplishments to date?

    7. Please tell us about the hardest thing you've had to overcome in your life and how you overcame it.

    8. How do you learn best?

    9. Which things stress you out the most?

    10. Please describe your current self using 5 different adjectives.

    11. What are the three biggest changes you'd like to make in your life within the near future (in five years time or so)?

    12. On a scale of 1 to 10, how motivated are you to successfully make changes in your life?

    13. *Please provide a rough date at which you'd like your coaching sessions to begin.

    14. *Please describe the frequency at which you'd like the sessions to occur, as well as the duration of the coaching.

    15. *Please provide us with an idea of your monthly budget for coaching sessions.

  4. Additional Information

    1. Please share anything else that you think might help the coaching process.

Pre-Coaching Questionnaire


Pre-Coaching Questionnaire

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Instructions

Thank you for your interest in our services. Before we get started, we're going to need some information from you.



What do you need to know?


  1. Provide all required information here using this form.
  2. Click ✓ Ok to submit and check off each request.
  3. Drafts are saved automatically and your progress restored (so you don't have to complete the checklist in one go


Need help?


Click the message icon in the top left corner to leave a message or comment for the question or section you're stuck in or need help with.


Getting started


Click the ✓ Ok button below to get started.


*Please provide your full name.

*Please provide your primary contact phone number.

*Please provide your full address and postal/zip code.

What is your reasoning behind wanting to undertake coaching sessions at this stage of your life?

Did something specific happen in your life recently? Have you just always wanted to be coached? Did something drive you to want to make significant changes in your life?  

Have you worked with a coach before at any point?

What do you expect to gain from the coaching sessions?

How will you know when you're seeing results from the coaching sessions?

Are there any particular ways in which you'll measure your success?  

Is there any particular reason behind wanting to work with us specifically?

So far in your life, what do you feel are your biggest accomplishments to date?

Feel free to list as many or as few as you see fit.  

Please tell us about the hardest thing you've had to overcome in your life and how you overcame it.

What were your coping mechanisms and support systems during this time?  

How do you learn best?

Under what circumstances? Using what methods? Feel free to provide examples.  



Which things stress you out the most?

Please provide 3-5 of your biggest stressors.  

Please describe your current self using 5 different adjectives.

What are the three biggest changes you'd like to make in your life within the near future (in five years time or so)?


On a scale of 1 to 10, how motivated are you to successfully make changes in your life?

  • 1-2

  • 2-4

  • 6-8

  • 8-10

*Please provide a rough date at which you'd like your coaching sessions to begin.

This is just a rough idea for us.

*Please describe the frequency at which you'd like the sessions to occur, as well as the duration of the coaching.

Example: 3-4 times per month for the next 4 months.  

*Please provide us with an idea of your monthly budget for coaching sessions.

Please share anything else that you think might help the coaching process.